12/13/2023 0 Comments File cabinet pro 3.9.2If a patient is the subject of a DNR status, the hospital will not attempt CPR and therefore there will be no further treatment. Withholding or the withdrawal of life sustaining medical treatment - this is where the hospital is proposing to transfer life-sustaining care to palliative care.ĭo Not Resuscitate - Cardiopulmonary resuscitation (CPR) is a process of restarting the heart and lungs of a patient. In such situations, there are two distinct treatment options that the hospital may need to consider: The current guidance and case law suggest that, where it has been decided that a treatment is not in the best interests of the patient, there is no ethical or legal obligation for the treating clinicians to provide it. Therefore, there are certain circumstances that may absolve a doctors’ positive duty to keep the patient alive. However, the clinical team in charge of the patient’s care have an ethical obligation to ensure that the benefits of a particular treatment outweigh any burdens or risks associated with the treatment. A fundamental aspect of this positive duty of care is a duty to take such steps as are reasonable to keep the patient alive. Once a patient is admitted to hospital, the medical staff is under a positive duty at common law to care for the patient. All staff working with children and their families within the Children and Families Service.This protocol is intended to assist the following social work teams in the Children’s Services Authority: This protocol sets out the Local Authority’s decision-making process and establishes clear guidelines for social workers to follow when faced with such difficult decisions. In other cases their application may have the effect of simply prolong the dying process and of causing unnecessary distress to the patient. The application of such techniques can have the potential in some cases to be able to sustain life artificially, where there exists little or no hope of recovery. These dilemmas can arise in cases concerning the possible application of advanced techniques of life support. Social work practitioners are sometimes faced with dilemmas as to whether it is in the best interest of the child/patient to start or continue treatment. The Local Authority, in its role as a statutory parent, is involved in the decision making process when a child, who is the subject of an order requires medical treatment. By Royal College of Paediatrics and Child Health “Withholding or Withdrawing Life Sustaining Treatment in Children: A Framework for Practice”.By the General Medical Council “Withholding and withdrawing life-prolonging treatments: Good Practice in decision making” and.The key current guidance is contained in the following documents: This protocol should be read in conjunction with the guiding principles set out in up to date relevant clinical guidance relied upon by health professionals. A distinction must be made between children subject to an order and those who are not, as in the case of the latter, the Children’s Services Authority do not share/hold Parental Responsibility and therefore our powers and duties are limited. This protocol also provides guidance in situations where a child is Accommodated for the purposes of section 20 of the Children Act 1989 or abandoned. The aim of this protocol is to provide practical guidance to social work practitioners when a child who is the subject of a statutory order made under section 31 Care Order, 38 Interim Care Order or 44 Emergency Protection Order of the Children Act 1989 becomes the subject of a “Do Not Resuscitate (DNR)” status or withholding or withdrawing life sustaining medical treatment. This document is a protocol to be adopted by the Redbridge Children’s Services Authority. Procedures Following the Death of a Child Subject to a Care Order Legal Responsibilities of the Local Authority Parent Withholding or the Withdrawal of Life Sustaining Medical Treatment
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